MIKIA AIVAZE NPI 1508689779

NPI Information

  • NPI: 1508689779
  • Provider Name: MIKIA AIVAZE
  • Classification: Registered Nurse - 163WW0000X
  • Specialization: Wound Care
  • Entity Type: Individual
  • Address: 19331 PINE VALLEY AVE
    PORTER RANCH, CA
    ZIP 91326
  • Phone: (818) 934-3463

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NPI Details

Mikia Aivaze is a wound care registered nurse in Porter Ranch, CA. Mikia Aivaze NPI is 1508689779. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

19331 PINE VALLEY AVE
PORTER RANCH, CA
ZIP 91326-403
Phone: (818) 934-3463

The enumeration date for this NPI number is 11/5/2024 and was last updated on 11/5/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WW0000XRegistered NurseWound Care00000000CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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